PMID- 22609079
OWN - NLM
STAT- MEDLINE
DCOM- 20121029
LR  - 20220321
IS  - 1879-1883 (Electronic)
IS  - 0002-9610 (Linking)
VI  - 204
IP  - 3
DP  - 2012 Sep
TI  - Ligation of intersphincteric fistula tract compared with advancement flap for 
      complex anorectal fistulas requiring initial seton drainage.
PG  - 283-9
LID - 10.1016/j.amjsurg.2011.10.025 [doi]
AB  - BACKGROUND: The ligation of intersphincteric fistula tract (LIFT) is a relatively 
      new surgical technique for treating complex anorectal fistulas. METHODS: LIFT was 
      compared with anorectal advancement flap management (ARAF) of complex anorectal 
      fistulas requiring previous seton drainage. Crohn's patients were excluded. 
      Patients with no confirmed recurrent sepsis after 6 months were randomized to day 
      surgery performance of LIFT (25; 17 male) or ARAF (14; 10 male) with removal of 
      the seton. Outcome measures included recurrences, surgical time, complications, 
      hospital readmissions, and fecal incontinence. RESULTS: LIFT was 32.5 minutes 
      shorter than ARAF (P < .001). Complications were similar, with no hospital 
      readmissions. Return to normal activities was 1 week for LIFT patients, 2 weeks 
      for ARAF patients (P = .016). At 19 months there were 3 recurrences (2 in the 
      LIFT group). One ARAF patient had minor incontinence. CONCLUSIONS: The LIFT 
      procedure was simple, safe, shorter, and patients returned to work earlier. All 
      patients had preliminary seton drainage, possibly contributing to the low 
      recurrence rates.
CI  - Copyright (c) 2012 Elsevier Inc. All rights reserved.
FAU - Mushaya, Chrispen
AU  - Mushaya C
AD  - Department of Surgery School of Medicine, Townsville and the Australian Institute 
      of Tropical Medicine, North Queensland Centre for Cancer Research, James Cook 
      University, Townsville, Queensland, Australia.
FAU - Bartlett, Lynne
AU  - Bartlett L
FAU - Schulze, Bettina
AU  - Schulze B
FAU - Ho, Yik-Hong
AU  - Ho YH
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20120519
PL  - United States
TA  - Am J Surg
JT  - American journal of surgery
JID - 0370473
SB  - IM
MH  - Adult
MH  - Aged
MH  - Digestive System Surgical Procedures/adverse effects/*methods
MH  - *Drainage/methods
MH  - Fecal Incontinence/etiology
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Ligation
MH  - Male
MH  - Middle Aged
MH  - Pain, Postoperative/etiology
MH  - Patient Readmission/statistics & numerical data
MH  - Postoperative Care/methods
MH  - Rectal Fistula/pathology/*surgery
MH  - Recurrence
MH  - *Surgical Flaps
MH  - Surgical Wound Dehiscence/etiology
MH  - Treatment Outcome
MH  - Wound Healing
EDAT- 2012/05/23 06:00
MHDA- 2012/10/30 06:00
CRDT- 2012/05/22 06:00
PHST- 2011/08/27 00:00 [received]
PHST- 2011/10/27 00:00 [revised]
PHST- 2011/10/27 00:00 [accepted]
PHST- 2012/05/22 06:00 [entrez]
PHST- 2012/05/23 06:00 [pubmed]
PHST- 2012/10/30 06:00 [medline]
AID - S0002-9610(12)00218-8 [pii]
AID - 10.1016/j.amjsurg.2011.10.025 [doi]
PST - ppublish
SO  - Am J Surg. 2012 Sep;204(3):283-9. doi: 10.1016/j.amjsurg.2011.10.025. Epub 2012 
      May 19.